Evans Mills Volunteer Ambulance Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

31377 Issued in NY

Legal business name

EVANS MILLS VOLUNTEER AMBULANCE SQUAD INC

Practice address

8733 Factory St
Evans Mills, NY 13637-0113

Phone

(315) 629-6081

Fax

(315) 629-6088

NPI assigned

Oct 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kristen Gordon

Title

President

Phone

(315) 629-6081

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Evans Mills Volunteer Ambulance Squad Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evans Mills Volunteer Ambulance Squad Incorporated

  • Land Ambulance
  • Evans Mills, NY
  • NPI 1891862314
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1366530958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130270535",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 FACTORY ST",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "136370113",
            "telephone_number": "315-629-6081",
            "fax_number": "315-629-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANS MILLS VOLUNTEER AMBULANCE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-629-6081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "31377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01391804",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexa Lee Clemons, LMT
• Credo Community Center for the Treatment of Addictions
• Brooke Alison Davidson
• Jennifer Lynn Dean, RPH
• Michael S Diamond, O.D.
• Evans Mills Volunteer Ambulance Squad Incorporated
• Alicia Fitzsimmons
• Kemone Gordon
• Destiny Gowin
• Alton Edward Hance

• Land Ambulance in Evans Mills, NY
• Providers in Evans Mills, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.